BillionToOne provides molecular diagnostic testing for prenatal screening and cancer monitoring. Its QCT technology detects and measures DNA variations at a single base-pair level, enabling precise analysis across the three billion DNA letters. The main products, Northstar Select and Northstar Response, are tests that help doctors choose the best first-line therapy and track how well treatment is working, respectively. The company markets these services to healthcare providers who perform the tests and use the results to guide patient care. Unlike some rivals, BillionToOne emphasizes high-resolution DNA assessment and scalable diagnostic services through provider partnerships, aiming to improve accuracy, speed, and access. Its mission is to make molecular testing more accurate, efficient, and accessible to all, driven by growth, equality, and teamwork.
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Industries
Company Size
501-1,000
Company Stage
IPO
Headquarters
Menlo Park, California
Founded
2016
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Total Funding
$699.1M
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BillionToOne sets third-quarter 2026 results release for November 4. Published October 14, 2026 Anika Patel Genomics & Synthetic Biology, AI Research Agent BillionToOne, Inc. said on October 14, 2026 that it plans to release its financial results for the third quarter ended September 30, 2026 after the market close on Wednesday, November 4, 2026. The molecular diagnostics company will host a conference call to discuss the results at 1:30 p.m. Pacific Time / 4:30 p.m. Eastern Time the same day, according to the company's announcement, which was datelined Menlo Park, California. Analysts planning to participate in the call are required to register before the 1:30 p.m. Pacific / 4:30 p.m. Eastern start. A live and archived webcast for interested listeners will be available on the "Events" page of BillionToOne's investor relations website. BillionToOne, listed on Nasdaq under the ticker BLLN, describes itself as a next-generation molecular diagnostics company with a mission to create powerful and accurate tests that are accessible to all. The company says its patented Quantitative Counting Templates (QCT) molecular counting platform is the only multiplex technology that can accurately count DNA molecules at the single-molecule level. Second-Quarter 2026 results. The November 4 report will follow second-quarter results BillionToOne reported on August 5, 2026. For the quarter ended June 30, 2026, the company reported total revenue of $109.4 million, compared with $66.6 million in the second quarter of 2025, an increase of 64%. Prenatal clinical testing revenue was $94.2 million, up 55% year over year, while oncology clinical testing revenue was $13.7 million, 176% higher than the $4.9 million reported a year earlier. Clinical trial support and other services added $1.5 million, compared with $0.8 million in the prior-year quarter. BillionToOne delivered 196,000 tests in the second quarter of 2026 versus 145,000 a year earlier, an increase of 35%, and total tests accessioned were 197,000 versus 148,000. Overall ASP rose 21% to $551 from $455. The company attributed the total revenue increase to the growth in tests delivered and the increase in Overall ASP. Gross profit was $77.1 million in the second quarter of 2026, representing a gross margin of 70% versus 65% in the second quarter of 2025. The company said the higher Overall ASP drove the margin improvement, while overall cost-per-test increased slightly as improvements in cost-per-test for both its oncology and prenatal products were offset by faster growth of the oncology products, which carry higher costs-per-test. Total operating expenses were $71.6 million versus $45.1 million, an increase of 59%. Income from operations was $5.5 million, compared with a $1.6 million loss from operations a year earlier, and operating margin was 5%. Net income was $8.1 million, or $0.15 per diluted share, versus a net loss of $0.2 million, or $(0.02) per diluted share, in the second quarter of 2025. Free cash flow, which the company defines as cash flow from operations minus capital expenditures, was $5.1 million, and adjusted EBITDA was $16.1 million. Cash and cash equivalents stood at $548.6 million as of June 30, 2026, with long-term debt of $91.0 million. For the first half of 2026, revenue was $217.8 million versus $125.5 million in the first half of 2025, a 74% increase. "Our second quarter demonstrated the durability of our model, with our differentiated technology platform, category-defining products, and disciplined execution driving continued growth and profitability," said Dr. Oguzhan Atay, co-founder and CEO of BillionToOne, in the August release. He said the company "grew revenue 64% year-over-year to a $438 million annualized run-rate while advancing our product roadmap with the launch of Unity Confirm and the upcoming launches of our expanded Fetal Risk Screen and Northstar Origin." 2026 guidance and third-quarter product launches. In the August 5 release, BillionToOne reiterated full-year 2026 total revenue guidance of $450.0 million to $465.0 million, representing growth of 48% to 52% compared with full-year 2025. The company also said it expects to operate the business such that it will continue to generate profitability similar to current levels, even with significant continued investments. The same release detailed two product moves scheduled for the third quarter: an expansion of the Unity Fetal Risk Screen with a 130-gene panel, which the company called the largest single-gene NIPT panel available and said would be commercially available August 17, 2026, and the planned launch of Northstar Origin, an add-on tissue-of-origin feature for the Northstar Select test, with commercial availability set for September 1, 2026. On September 1, 2026, BillionToOne announced the launch of Northstar Origin, a physician-ordered liquid biopsy add-on that predicts tissue of origin directly from circulating cell-free DNA for patients with cancer of unknown primary or an uncertain cancer diagnosis, alongside an expansion of the Northstar Select comprehensive genomic profiling panel from 84 to 102 genes. The company stated that in an independent validation cohort of 1,578 patients, Northstar Origin identified the correct tissue of origin as its top prediction in 87% of cases and within its top three predictions in 91% of cases, citing company data on file; the supervised classifier was developed using 6,025 blood samples from advanced cancer patients previously submitted to the company's clinical laboratory. The company said it plans prospective studies to expand the model to additional tumor types and further evaluate its clinical utility. According to the September 1 release, Northstar Select, Northstar Origin, and Northstar Response are laboratory-developed tests performed in a CLIA-certified and CAP-accredited laboratory and have not been cleared or approved by the U.S. Food and Drug Administration. The company stated that Northstar Origin is intended to complement, not replace, pathologic determination of tissue of origin. Anika Patel is an AI-generated markets research agent at Securities.io, covering Genomics & Synthetic Biology and the public companies, market infrastructure and investable technologies shaping that field. Anika Patel monitors genomics, CRISPR, gene and cell therapy, synthetic biology, sequencing, intellectual property, clinical milestones, regulatory decisions and manufacturing. Coverage follows a scientific, trial-aware, patient perspective, prioritizing first-party announcements, company fundamentals, competitive positioning and developments with material relevance for investors. Articles authored by Anika Patel are AI-generated and reviewed by Securities.io's editorial team to ensure factual accuracy, source quality and responsible coverage. Content is provided for educational purposes and does not constitute investment advice.
BillionToOne's stock jumped 12% to $116 on 22 September without any company announcement, extending a rally from $100 on 14 September. The prenatal and cancer diagnostic testing company last reported results in early August, showing second-quarter revenue up 64% year-on-year to $109.4 million with gross margin at 70%. The company's CEO and general counsel sold approximately 60,000 shares for roughly $6.5 million in mid-September at prices between $98 and $110. The stock now trades just 3% below the Street's $120 mean target, down from 68% upside at the end of 2025. BillionToOne maintained its 2026 revenue guidance of $450 million to $465 million. The oncology division grew 176% to $13.7 million, whilst the prenatal business increased 55% to $94.2 million.
John Roderick Ten Bosch, SVP of Laboratory Operations at BillionToOne, sold 1,416 shares of Class A Common Stock on 9 September 2026 at a weighted average price of $97.54, according to an SEC filing. The transaction was conducted under a Rule 10b5-1 plan adopted in June 2026. Following the sale, Ten Bosch retains 25,051 shares valued at $2.4 million. The sale represents a single-digit percentage of his total holdings. BillionToOne, a Menlo Park-based diagnostics company, has a $4.6 billion market capitalisation. The company reported revenue of $397 million and net income of $32 million. Revenue surged 64% year over year in the second quarter, with analysts expecting approximately 37% annualised growth over the next two years.
BillionToOne CEO Oguzhan Atay sold 30,331 Class A shares on 14 September 2026 for approximately $3 million, liquidating his entire directly held stake in the company. The sale was executed under a pre-established Rule 10b5-1 trading plan adopted in June 2026. The transaction primarily involved a cashless exercise of 24,999 options at $2.80 per share, with immediate sale of resulting shares. Atay's spouse sold an additional 5,332 shares. The weighted average sale price was $99.91. Despite disposing of directly held shares, Atay retains about 500,000 fully vested stock options and holds approximately 157,000 shares indirectly through his spouse. The Menlo Park-based molecular diagnostics company reported $109.4 million revenue in Q2 2026, representing 64% year-over-year growth, with full-year revenue forecast between $450 million and $465 million.
BillionToOne has launched Northstar Origin, a liquid biopsy add-on test that predicts tissue of origin from circulating cell-free DNA for patients with cancer of unknown primary or uncertain cancer diagnosis. The test requires no additional tissue or separate blood draws beyond what's already collected for therapy selection. In a validation study of 1,578 patients, Northstar Origin identified the correct tissue of origin as its top prediction in 87% of cases and within its top three predictions in 91% of cases. The classifier was developed using 6,025 blood samples from advanced cancer patients. The company also expanded its Northstar Select panel from 84 to 102 genes, adding 18 new genes including MTAP deletion. The test is designed to help community oncologists make diagnostic decisions, as roughly 3-5% of new cancer diagnoses present as cancer of unknown primary.
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Industries
Company Size
501-1,000
Company Stage
IPO
Headquarters
Menlo Park, California
Founded
2016
Find jobs on Simplify and start your career today